A 80-year-old female presented with soreness in both shoulders and upper back. According to the patient, she feels tired all the time and also had near-persistent headache in last few days. The doctor manages her conservatively. 3 days later she again presented with sudden loss of vision in the left eye Ophthalmoscopic examination was done. What is next best appropriate step in the above condition: –
A 80-year-old female presented with soreness in both shoulders and upper back. According to the patient, she feels tired all the time and also had near-persistent headache in last few days. The doctor manages her conservatively. 3 days later she again presented with sudden loss of vision in the left eye Ophthalmoscopic examination was done. What is next best appropriate step in the above condition: –
π‘ Explanation
A 80-year-old female presented with soreness in both shoulders and upper back. According to the patient, she feels tired all the time and also had near-persistent headache in last few days. The doctor manages her conservatively. 3 days later she again presented with sudden loss of vision in the left eye Ophthalmoscopic examination was done. What is next best appropriate step in the above condition: -
β Correct Answer: B. Initiate high dose glucocoicoid therapy and refer for temporal aery biopsy
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